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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/baron-rj-et-al-2005
January 01, 2005 - had to use new on-screen forms to record telephone messages; pairing electronic messages with paper charts … "Every patient represented a "new patient" to the electronic health record, and the old paper chart had … to be abstracted and data moved into the electronic chart [by the physician]. … Some aspects of chart abstraction could perhaps have been delegated (for example, entering medication … produced automatically by our system) more efficiently to specialists, and spend less time paging through charts
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/IFQHC_workflow_assessment.pdf
January 01, 2007 - Charts
Insurance verification
Who pulls the chart for:
Regular appointments:
Same day … www.ifqhc.org/provider/documents/workflow_assessment.pdf
What is the procedure to create new patient charts … What do you do with the chart (policy vs. what really happens)? … Does MA put anything else in the chart after the patient leaves? … Printout
Verbally
Email
What happens to the chart?
-
digital.ahrq.gov/ahrq-funded-projects/closing-feedback-loop-improve-diagnostic-quality/annual-summary/2010
January 01, 2010 - systems are the CCHIT-certified McKesson Horizon Patient Folder and a proprietary ED system (Xpress Charts … process did not progress as expected due to challenges with scheduling the sessions and that patient charts
-
digital.ahrq.gov/sites/default/files/docs/resource/BOV_Q6_HTN_Report.pdf
March 06, 2009 - The
graph below charts the blood pressure readings over time.
-
digital.ahrq.gov/sites/default/files/docs/page/guide-to-evaluating-hie-projects-appendix-c.pdf
June 16, 2021 - You may want to record the ideas on flip
charts, whiteboards, or computers with data projectors.
-
digital.ahrq.gov/ahrq-funded-projects/improving-quality-through-health-information-technology-testing-feasibility-and/annual-summary/2009
January 01, 2009 - Despite staff members’ frustration, no one reported that he or she would prefer to go back to paper charts … The key benefits of the EHR reported by the staff included ease in finding charts, improved communication
-
digital.ahrq.gov/sites/default/files/docs/survey/nyc-reach-regional-extension-center-provider-survey.pdf
June 16, 2021 - Return to paper charts?
11b. … Please tell us more about why you want to switch vendors or return to paper charts. … active medication list
Maintain an active medication allergy list
Record and chart … Decreased Stayed the
Same Increased Don't
know/NA
Staff time pulling and/or creating charts
Time … Please tell us more about why you want to switch vendors or return to paper charts.
________________
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017233-fox-final-report-2011.pdf
January 01, 2011 - A minimum of 100 diabetic charts per clinic were
randomly selected and abstracted to obtain pre-period … Chart Abstraction and Data Entry. … Chart abstraction was conducted for baseline
purposes at all four clinics for 100 charts, and continued … Each clinic
arranged their charts in a different manner. … The second is the potential
for coding errors and incomplete information in charts.
-
digital.ahrq.gov/ahrq-funded-projects/can-risk-score-alerts-improve-office-care-chest-pain/annual-summary/2010
January 01, 2010 - For the former, a chart review of performance on EKG and administration of aspirin; for the latter, a … The first charts were available for review in January 2009 and continued throughout the year. … About 7,500 charts were reviewed and analyzed, and the team prepared a manuscript of the results for … were developed for individual components of the intervention, including the creation of data reports, chart
-
digital.ahrq.gov/sites/default/files/docs/page/2006LeonhardtPagel_052411comp.pdf
June 01, 2006 - med list)
Measurement:
Chart review, September 2005
N= 2750 patient interviews, chart reviews
• … Accurate med lists = 62%
• Med listed in chart
but pt is NOT taking them = 16%
• Med NOT listed in chart … NOT taking
26% 26%
Able to identify
meds NOT on
chart but pt. … We are
speaking different languages.”
– “Doctors are too busy looking at computers,
charts, and typing … Measurement: Accurate Medication List
Measurement:� Chart review, September 2005
Measurement: Chart
-
digital.ahrq.gov/ahrq-funded-projects/preventing-wrong-drug-and-wrong-patient-errors-indication-alerts-cpoe-systems
January 01, 2023 - Order Entry System Population: Clinical Staff/Clinician , Patient
Effect of number of open charts … Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department
-
digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/project
January 01, 2023 - Gantt Chart
Description
A Gantt chart is used to outline the plan for and show the progress … It has the format of a bar chart and depicts the various subdivided phases or tasks that must be completed … Program Evaluation and Review Technique Chart
Description
Program evaluation and review technique … (PERT) charts are useful when managing a project.
-
digital.ahrq.gov/ahrq-funded-projects/automating-assessment-asthma-care-quality/activity/automating-assessment-asthma/annual-summary/2010
January 01, 2010 - Validation of the ACQ measures was based on chart reviews at the patient level. … percent confidence intervals (CIs) were computed for each measure based on the review of 900 patient charts … An extensive chart review of stratified random samples of persistent asthma patients and exacerbation … The chart review process involved a sample of roughly 450 patients at each site. … Overall accuracy, as measured by chart review, ranged from 63 percent to 100 percent and averaged 88
-
digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/Workflow_Assessment_Checklist.pdf
June 01, 2005 - Who pulls the chart? … saved)
Originated: April 2005 Page 2 of 9
Revised: June 2005
Where do you put the next day’s charts … Do you add forms to the chart before putting it up for the MA? … What happens to the chart? … When are they matched with the chart?
Who matches them?
-
digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/WorkflowInterviewGuide.doc
December 18, 2021 - Who pulls the chart for:
Regular appointments: ________________________________ … What do you do if you can’t find a chart?
Patient Visit
What do you do about no-shows? … What do you do with the chart (policy vs. what really happens)?
What is your check-in process? … Does MA put anything else in the chart after the patient leaves? … What happens to the chart?
-
digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/data-display
January 01, 2023 - Multi-Vari Chart
Description
A multi-vari chart shows both several sources of variation in … Gantt Chart
Description
A Gantt chart is used to outline the plan for and show the progress … It has the format of a bar chart and depicts the various subdivided phases or tasks that must be completed … Pareto Chart
Description
A pareto chart is a bar graph where the bars appear in decreasing
-
digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/CFF_Office_Visit.pdf
March 01, 2009 - process
with pt
Reception
lets clinical
staff know pt
has arrived
by VERBAL/
WRITTEN
NOTE /
CHART … Clinical staff sees pt here by
VERBAL/WRITTEN NOTE
Gets paper chart from
DESK/RECEPTION and calls … Asks MD or visit specific
questions
Gathers forms completed by pt
Clinical staff puts chart … for MD and
notifies pt is ready by
FLAG/VERBAL/WRITTEN
MD reviews chart in
OFFICE/HALL/EXAM ROOM … ,
Takes paper chart into exam
room and sees pt.
-
digital.ahrq.gov/ahrq-funded-projects/surveillance-adverse-drug-events-ambulatory-pediatrics
January 01, 2023 - The team compared the rate of ADE detection with the automated system to a traditional manual chart review … A random review of 392 patient charts was completed by a pharmacist. … total of 66 hours of pharmacist time was needed for the automated method, versus 565 hours for the chart … Both manual chart reviews and automated systems are better at identifying ADEs than voluntary reporting … Therefore, in an environment in which manual chart reviews are not feasible, an automated system is a
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/berman-h-2009-response
January 01, 2009 - "Staff no longer spends time hunting for charts, lab results, letters, reports, etc.
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs025443-abraham-final-report-2020.pdf
January 01, 2020 - Chart Reviews
Chart reviews are often considered as the basis for establishing the “ground truth” and … A
chart abstraction tool was developed to extract chart information. … included clinician negligence (29%), misinterpretation of verbal orders
(4%), and mix-up of patient charts … design and usability of the CPOE-CDS system
interface including restricting easy flipping between charts … 39], grouped alerts [40], use of patient
photographs when ordering [34], restricting number of open-charts